Agenda packet — Paso Robles City Council, March 18, 2025 (part 7 of 12)

TC7484275.8s Page 397
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 HWTS:

Name: KOHL’S INC - STORE #960
Address: 100 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000356220
Inactive Date: Not reported
Create Date: 08/26/2010
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: PO BOX 3156
Mailing Address 2: Not reported
Mailing City,State,Zip: MILWAUKEE, WI 532010000
Owner Name: KOHL’S INC
Owner Address: N56 W17000 RIDGEWOOD DR
Owner Address 2: Not reported
Owner City,State,Zip: MENOMONEE FALLS, WI 530510000
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: RICH BLOCK
Contact Address: N56 W17000 RIDGEWOOD DRIVE
Contact Address 2: Not reported
City,State,Zip: MENOMONEE FALLS, WI 53051
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Active
Facility Type: PERMANENT
Category: STATE
Latitude: 35.615218
Longitude: -120.687989
NAICS:

EPA ID: CAL000356220
Create Date: 2010-08-26 11:18:29.520
NAICS Code: 45211
NAICS Description: Department Stores
Issued EPA ID Date: 2010-08-26 11:18:29.52000
Inactive Date: Not reported
Facility Name: KOHL’S INC - STORE #960
Facility Address: 100 NIBLICK RD
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Facility Zip: 93446
HAZNET:

Name: KOHL’S DEPARTMENT STORES INC #960
Address: 100 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 532010000
Contact: RYAN PIEDOT
Telephone: 2627037019
Mailing Name: Not reported
Mailing Address: P.O. BOX 3155
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 928 of 1735 ends

TC7484275.8s Page 398
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Year: 2019
Gepaid: CAL000356220
TSD EPA ID: NED981723513
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Tons: 0.05900
Year: 2018
Gepaid: CAL000356220
TSD EPA ID: NED981723513
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Tons: 0.04000
Year: 2018
Gepaid: CAL000356220
TSD EPA ID: NVD980895338
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.01250
Year: 2018
Gepaid: CAL000356220
TSD EPA ID: CAD044429835
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.01500
Year: 2017
Gepaid: CAL000356220
TSD EPA ID: NED981723513
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Tons: 0.01
Year: 2016
Gepaid: CAL000356220
TSD EPA ID: NED981723513
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Tons: 0.05
Year: 2015
Gepaid: CAL000356220
TSD EPA ID: UTD991301748
CA Waste Code: 291 - Latex waste
Disposal Method: -
Tons: 0.075
Year: 2015
Gepaid: CAL000356220
TSD EPA ID: NED981723513
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Tons: 0.02
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 929 of 1735 ends

TC7484275.8s Page 399
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Detail Two:

Year: 2019
EM Manifest ID: 495947
Shipment Date: 7/9/2019
Receipt Date: 7/24/2019
Manifest Number: 013455768FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: OKR000031492
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: Clean Harbors Environmental Services, Inc.

TSDF Address 1: 2247 South Highway 71
TSDF Address 2: Not reported
TSDF City: Kimball
TSDF Zip: 69145
TSDF Telephone: 800-483-3718
Federal:

Year: 2019
EM Manifest ID: 495947
Generator EPA ID: CAL000356220
Shipment Date: 2019-07-09
Manifest Number: 013455768FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.01050
Quantity Waste: 21.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Page 930 of 1735 ends

TC7484275.8s Page 400
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 State Code: 331
Year: 2019
EM Manifest ID: 65af52cd-4de1-45a8-94db-c6932602c842
Shipment Date: 4/9/2019
Receipt Date: 4/22/2019
Manifest Number: 012730389FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MAD039322250
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD044429835
TSDF Name: Clean Harbors Wilmington LLC
TSDF Address 1: 1737 East Denni Street
TSDF Address 2: Not reported
TSDF City: Wilmington
TSDF Zip: 90744
TSDF Telephone: 800-483-3718
Federal:

Year: 2019
EM Manifest ID: 65af52cd-4de1-45a8-94db-c6932602c842
Generator EPA ID: CAL000356220
Shipment Date: 2019-04-09
Manifest Number: 012730389FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2019
EM Manifest ID: 65af52cd-4de1-45a8-94db-c6932602c842
Generator EPA ID: CAL000356220
Shipment Date: 2019-04-09
Manifest Number: 012730389FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 2
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 931 of 1735 ends

TC7484275.8s Page 401
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 727fcad5-e0d2-443d-9db4-e3c02e967cc9
Shipment Date: 3/26/2019
Receipt Date: 4/16/2019
Manifest Number: 013248471FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: OKR000031492
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: Clean Harbors Environmental Services, Inc.

TSDF Address 1: 2247 South Highway 71
TSDF Address 2: Not reported
TSDF City: Kimball
TSDF Zip: 69145
TSDF Telephone: 800-483-3718
Federal:

Year: 2019
EM Manifest ID: 727fcad5-e0d2-443d-9db4-e3c02e967cc9
Generator EPA ID: CAL000356220
Shipment Date: 2019-03-26
Manifest Number: 013248471FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2019
EM Manifest ID: 727fcad5-e0d2-443d-9db4-e3c02e967cc9
Generator EPA ID: CAL000356220
Shipment Date: 2019-03-26
Manifest Number: 013248471FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 932 of 1735 ends

TC7484275.8s Page 402
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 741407
Shipment Date: 10/29/2019
Receipt Date: 11/22/2019
Manifest Number: 013763796FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: OKR000031492
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: Clean Harbors Environmental Services, Inc.

TSDF Address 1: 2247 South Highway 71
TSDF Address 2: Not reported
TSDF City: Kimball
TSDF Zip: 69145
TSDF Telephone: 800-483-3718
Federal:

Year: 2019
EM Manifest ID: 741407
Generator EPA ID: CAL000356220
Shipment Date: 2019-10-29
Manifest Number: 013763796FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2019
EM Manifest ID: 741407
Generator EPA ID: CAL000356220
Shipment Date: 2019-10-29
Manifest Number: 013763796FLE
Line Number: 1
Method Code: H040
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 933 of 1735 ends

TC7484275.8s Page 403
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 483574
Shipment Date: 1/15/2019
Receipt Date: 1/31/2019
Manifest Number: 013248228FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: Clean Harbors Environmental Services, Inc.

TSDF Address 1: 2247 South Highway 71
TSDF Address 2: Not reported
TSDF City: Kimball
TSDF Zip: 69145
TSDF Telephone: 800-483-3718
Federal:

Year: 2019
EM Manifest ID: 483574
Generator EPA ID: CAL000356220
Shipment Date: 2019-01-15
Manifest Number: 013248228FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.04000
Quantity Waste: 80.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2019
EM Manifest ID: 483574
Generator EPA ID: CAL000356220
Shipment Date: 2019-01-15
Manifest Number: 013248228FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 934 of 1735 ends

TC7484275.8s Page 404
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Line Number: 1
Method Code: H040
Quantity Tons: 0.04000
Quantity Waste: 80.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Detail Two:

Year: 2018
EM Manifest ID: 146728
Shipment Date: 9/11/2018
Receipt Date: 9/29/2018
Manifest Number: 019416009JJK
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: Clean Harbors Environmental Services, Inc.

TSDF Address 1: 2247 South Highway 71
TSDF Address 2: Not reported
TSDF City: Kimball
TSDF Zip: 69145
TSDF Telephone: 800-483-3718
Federal:

Year: 2018
EM Manifest ID: 146728
Generator EPA ID: CAL000356220
Shipment Date: 2018-09-11
Manifest Number: 019416009JJK
Line Number: 1
Method Code: H040
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 146728
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 935 of 1735 ends

TC7484275.8s Page 405
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Generator EPA ID: CAL000356220
Shipment Date: 2018-09-11
Manifest Number: 019416009JJK
Line Number: 1
Method Code: H040
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2018
EM Manifest ID: 010876179FLE20170823_D_1
Shipment Date: 8/23/2017
Receipt Date: 9/16/2017
Manifest Number: 010876179FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Year: 2018
EM Manifest ID: 010876179FLE20170823_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2017-08-23
Manifest Number: 010876179FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.03750
Quantity Waste: 75.000000
Quantity Unit: P
Number of Containers: 3
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 936 of 1735 ends

TC7484275.8s Page 406
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Year: 2018
EM Manifest ID: 010876179FLE20170823_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2017-08-23
Manifest Number: 010876179FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.03750
Quantity Waste: 75.000000
Quantity Unit: P
Number of Containers: 3
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 99299
Shipment Date: 7/6/2018
Receipt Date: 7/25/2018
Manifest Number: 011779894FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: 100 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446
Telephone: 800-483-3718
Contact: Ryan Piedot
Contact Telephone: 262-703-1019
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MAD039322250
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD044429835
TSDF Name: Clean Harbors Wilmington LLC
TSDF Address 1: 1737 East Denni Street
TSDF Address 2: Not reported
TSDF City: Wilmington
TSDF Zip: 90744
TSDF Telephone: 800-483-3718
Federal:

Page 937 of 1735 ends

TC7484275.8s Page 407
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 State:

Year: 2018
EM Manifest ID: 99299
Generator EPA ID: CAL000356220
Shipment Date: 2018-07-06
Manifest Number: 011779894FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01500
Quantity Waste: 30.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2018
EM Manifest ID: 010873986FLE20170606_D_1
Shipment Date: 6/6/2017
Receipt Date: 7/12/2017
Manifest Number: 010873986FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICE INC
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Page 938 of 1735 ends

TC7484275.8s Page 408
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Federal Code: D001
State:

Year: 2018
EM Manifest ID: 010873986FLE20170606_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2017-06-06
Manifest Number: 010873986FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 000212278DAT20180405_D_1
Shipment Date: 4/9/2018
Receipt Date: 5/31/2018
Manifest Number: 000212278DAT
Generator EPA ID: CAL000356220
Name: KOHL’S DEPARTMENT STORE C/O WA STE HANAGEDENT
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: NED986382133
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NVD980895338
TSDF Name: 21ST CENTURY ENVIRONMENTAL MANAGEMENT OF NEVADA LLC TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Page 939 of 1735 ends

TC7484275.8s Page 409
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
Year: 2018
EM Manifest ID: 000212278DAT20180405_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-04-09
Manifest Number: 000212278DAT
Line Number: 1
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D005
Year: 2018
EM Manifest ID: 000212278DAT20180405_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-04-09
Manifest Number: 000212278DAT
Line Number: 1
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D007
Year: 2018
EM Manifest ID: 000212278DAT20180405_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-04-09
Manifest Number: 000212278DAT
Line Number: 1
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D011
Year: 2018
EM Manifest ID: 000212278DAT20180405_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-04-09
Manifest Number: 000212278DAT
Line Number: 1
Method Code: H141
Quantity Tons: 0.01250
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 940 of 1735 ends

TC7484275.8s Page 410
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D018
State:

Year: 2018
EM Manifest ID: 000212278DAT20180405_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-04-09
Manifest Number: 000212278DAT
Line Number: 1
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 011778972FLE20180313_D_1
Shipment Date: 3/13/2018
Receipt Date: 4/4/2018
Manifest Number: 011778972FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Year: 2018
EM Manifest ID: 011778972FLE20180313_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-03-13
Manifest Number: 011778972FLE
Line Number: 1
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 941 of 1735 ends

TC7484275.8s Page 411
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Method Code: H040
Quantity Tons: 0.00400
Quantity Waste: 8.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 011778972FLE20180313_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-03-13
Manifest Number: 011778972FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.00400
Quantity Waste: 8.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 011779025FLE20180227_D_1
Shipment Date: 2/27/2018
Receipt Date: 3/3/2018
Manifest Number: 011779025FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Year: 2018
EM Manifest ID: 011779025FLE20180227_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-02-27
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 942 of 1735 ends

TC7484275.8s Page 412
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Manifest Number: 011779025FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 0
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 011779025FLE20180227_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-02-27
Manifest Number: 011779025FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 0
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 011551039FLE20171206_D_1
Shipment Date: 12/6/2017
Receipt Date: 1/5/2018
Manifest Number: 011551039FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: ALR000007237
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Year: 2018
EM Manifest ID: 011551039FLE20171206_D_1
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 943 of 1735 ends

TC7484275.8s Page 413
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Generator EPA ID: CAL000356220
Shipment Date: 2017-12-06
Manifest Number: 011551039FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 3
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 011551039FLE20171206_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2017-12-06
Manifest Number: 011551039FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 3
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 011549137FLE20180130_D_1
Shipment Date: 1/30/2018
Receipt Date: 2/16/2018
Manifest Number: 011549137FLE
Generator EPA ID: CAL000356220
Name: KOHLS DEPARTMENT STORES - STORE 960
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: MAD039322250
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NED981723513
TSDF Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 944 of 1735 ends

TC7484275.8s Page 414
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Year: 2018
EM Manifest ID: 011549137FLE20180130_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-01-30
Manifest Number: 011549137FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 011549137FLE20180130_D_1
Generator EPA ID: CAL000356220
Shipment Date: 2018-01-30
Manifest Number: 011549137FLE
Line Number: 1
Method Code: H040
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Additional Info:

Year: 2017
Gen EPA ID: CAL000356220
Shipment Date: 20171206
Creation Date: 10/26/2018 18:30:27
Receipt Date: 20180105
Manifest ID: 011551039FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Trans 2 EPA ID: ALR000007237
Trans 2 Name: ACTION RESOURSE INC
TSDF EPA ID: NED981723513
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Quantity Tons: 0.025
Waste Quantity: 50
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 945 of 1735 ends

TC7484275.8s Page 415
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170823
Creation Date: 10/10/2018 18:30:31
Receipt Date: 20170916
Manifest ID: 010876179FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Trans 2 EPA ID: MOD095038998
Trans 2 Name: TSMT
TSDF EPA ID: NED981723513
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Quantity Tons: 0.0375
Waste Quantity: 75
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170606
Creation Date: 8/1/2018 18:31:24
Receipt Date: 20170712
Manifest ID: 010873986FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICE INC
Trans 2 EPA ID: MOD095038998
Trans 2 Name: TSMT
TSDF EPA ID: NED981723513
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICE INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Quantity Tons: 0.01
Waste Quantity: 20
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2016
Gen EPA ID: CAL000356220
Shipment Date: 20150714
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 946 of 1735 ends

TC7484275.8s Page 416
KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Creation Date: 5/24/2016 16:37:46
Receipt Date: Not reported
Manifest ID: 008826005FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: UTD991301748
Trans Name: CLEAN HARBORS GRASSY MOUNTAIN LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 291 - Latex waste
RCRA Code: Not reported
Meth Code: - Not reported
Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150410
Creation Date: 9/16/2015 22:15:10
Receipt Date: 20150423
Manifest ID: 008020425FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Trans 2 EPA ID: AZR000153770
Trans 2 Name: SLT
TSDF EPA ID: NED981723513
Trans Name: CLEAN HARBORS ENV SERVICES INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Quantity Tons: 0.02
Waste Quantity: 40
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2015
Gen EPA ID: CAL000356220
Shipment Date: 20150714
Creation Date: 5/24/2016 16:37:46
Receipt Date: Not reported
Manifest ID: 008826005FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 947 of 1735 ends

TC7484275.8s Page 417
N76 ALBERTSONS #314 CERS HAZ WASTE S121780071
North 189 NIBLICK RD CUPA Listings N/A
< 1/8 PASO ROBLES, CA 93446 CERS
Actual:
725 ft.

Focus Map:
2 0.070 mi.
371 ft. Site 1 of 3 in cluster N
CERS HAZ WASTE:

Name: ALBERTSONS #314
Address: 189 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 418488
CERS ID: 10138931
CERS Description: Hazardous Waste Generator
CUPA SAN LUIS OBISPO:

KOHL’S DEPARTMENT STORES INC #960 (Continued) S117845610 Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: UTD991301748
Trans Name: CLEAN HARBORS GRASSY MOUNTAIN LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 291 - Latex waste
RCRA Code: Not reported
Meth Code: - Not reported
Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150410
Creation Date: 9/16/2015 22:15:10
Receipt Date: 20150423
Manifest ID: 008020425FLE
Trans EPA ID: MAD039322250
Trans Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC
Trans 2 EPA ID: AZR000153770
Trans 2 Name: SLT
TSDF EPA ID: NED981723513
Trans Name: CLEAN HARBORS ENV SERVICES INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H040 - Incineration--Thermal Destruction Other Than Use As A Fuel Quantity Tons: 0.02
Waste Quantity: 40
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 948 of 1735 ends

TC7484275.8s Page 418
ALBERTSONS #314 (Continued) S121780071
Name: ALBERTSONS #314
Address: 189 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000780
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0011724
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61632
Longitude: 120.68133
Name: ALBERTSONS #314
Address: 189 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000780
Program Element Code: 1110
Program Element: UNIV WASTE GENERATOR (CESQUWG)
Record Id: PR0011382
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61632
Longitude: 120.68133
Name: ALBERTSONS #314
Address: 189 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000780
Program Element Code: 1120
Program Element: CHEMICAL RETAILER/HAZARDOUS WASTE GENERATOR Record Id: PR0011577
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61632
Longitude: 120.68133
Name: ALBERTSONS #314
Address: 189 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000780
Program Element Code: 1126
Program Element: HAZWASTE GEN (1-5 WASTE STREAMS)
Record Id: PR0015442
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61632
Longitude: 120.68133
CERS:

Name: ALBERTSONS #314
Address: 189 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 418488
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 949 of 1735 ends

TC7484275.8s Page 419
ALBERTSONS #314 (Continued) S121780071
CERS ID: 10138931
CERS Description: Chemical Storage Facilities
Violations:

Site ID: 418488
Site Name: Albertsons #314
Violation Date: 03-23-2023
Citation: 22 CCR 15 66265.16 - California Code of Regulations, Title 22, Chapter 15, Section(s) 66265.16
Violation Description: Failure to provide employees with hazardous waste training program of class room instructions or on-the-job training within the first six months after the date of their employment or assignment to a facility, or to a new position at a facility and annually thereafter. Training records on current personnel shall be kept until closure of the facility and for former employees the record shall be kept for at least three years from the date the employee last worked at the facility. The records shall include the following: the job title for each position at the facility related to hazardous waste management, and the name of the employee filling each job; a written job description for each position, duties of facility personnel assigned to each position, and a written description of the type and amount of both introductory and continuing training that will be given to each person filling a position.

Violation Notes: Returned to compliance on 04/25/2023. Provide hazardous waste management procedure training for David Galvez and provide copy of proof of training to your inspector within 30 days at
[email protected].

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-23-2023
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-30-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-01-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 950 of 1735 ends

TC7484275.8s Page 420
ALBERTSONS #314 (Continued) S121780071
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-10-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-02-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-12-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-11-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-13-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-22-2017
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 951 of 1735 ends

TC7484275.8s Page 421
ALBERTSONS #314 (Continued) S121780071
Eval Date: 03-30-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked NA not reviewed during inspection.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-02-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-09-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-13-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-23-2023
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Please ensure helium cylinders are chained to wall. Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for David Galvez.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-01-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Matt Mirarchi.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 952 of 1735 ends

TC7484275.8s Page 422
ALBERTSONS #314 (Continued) S121780071
Eval Date: 12-10-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 04-26-2023
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. Received training for David Galvez.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-12-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-09-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-11-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Cindy Hawkes.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-22-2017
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Coordinates:

Site ID: 418488
Facility Name: Albertsons #314
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 953 of 1735 ends

TC7484275.8s Page 423
ALBERTSONS #314 (Continued) S121780071
Env Int Type Code: HMBP
Program ID: 10138931
Coord Name: Not reported
Ref Point Type Desc: Center of a facility or station.,
Latitude: 35.616230
Longitude: -120.681250
Affiliation:

Affiliation Type Desc: Legal Owner
Entity Name: Albertsons LLC
Entity Title: Not reported
Affiliation Address: PO Box 20, Dept. 9938819
Affiliation City: Boise
Affiliation State: ID
Affiliation Country: United States
Affiliation Zip: 83726
Affiliation Phone: (208) 395-3949,
Affiliation Type Desc: Document Preparer
Entity Name: Jill Washburn
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Operator
Entity Name: Albertsons #314
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (805) 237-1626,
Affiliation Type Desc: Parent Corporation
Entity Name: Albertsons
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 954 of 1735 ends

TC7484275.8s Page 424
N77 ALBERTSONS #6314 RCRA NonGen / NLR 1024838000
North 189 NIBLICK RD CAL000384210
< 1/8 PASO ROBLES, CA 93446
Actual:
725 ft.

Focus Map:
2 0.070 mi.
371 ft. Site 2 of 3 in cluster N
RCRA Listings:

Date Form Received by Agency: 20130408
Handler Name: Albertsons #6314
Handler Address: 189 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000384210
Contact Name: JILL WASHBURN
Contact Address: PO BOX 20, DEPT. 81014
Contact City,State,Zip: BOISE, ID 83726
Contact Telephone: 208-395-3949
Contact Fax: 208-395-4508
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
ALBERTSONS #314 (Continued) S121780071
Affiliation Type Desc: Environmental Contact
Entity Name: Jill Washburn
Entity Title: Not reported
Affiliation Address: PO Box 20, Dept. 9938819
Affiliation City: Boise
Affiliation State: ID
Affiliation Country: Not reported
Affiliation Zip: 83726
Affiliation Phone: ,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: PO Box 20, Dept. 9938819
Affiliation City: Boise
Affiliation State: ID
Affiliation Country: Not reported
Affiliation Zip: 83726
Affiliation Phone: ,
Affiliation Type Desc: Identification Signer
Entity Name: Jill Washburn
Entity Title: Environmental Coordinator
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 955 of 1735 ends

TC7484275.8s Page 425
ALBERTSONS #6314 (Continued) 1024838000
State District: Not reported
Mailing Address: 250 E PARKCENTER BLVD DEPT 81014
Mailing City,State,Zip: BOISE, ID 83706-3940
Owner Name: Albertsons, Llc
Owner Type: Other
Operator Name: Jill Washburn
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: Yes
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20180906
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: ALBERTSONS, LLC
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 250 E PARKCENTER BLVD DEPT 81014 Owner/Operator City,State,Zip: BOISE, ID 83706-3940
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 956 of 1735 ends

TC7484275.8s Page 426
N78 ALBERTSONS 314 RCRA-VSQG 1025502094
North 189 NIBLICK ROAD CAR000295022
< 1/8 PASO ROBLES, CA 93446
Actual:
725 ft.

Focus Map:
2 0.070 mi.
371 ft. Site 3 of 3 in cluster N
RCRA Listings:

Date Form Received by Agency: 20210923
Handler Name: Albertsons 314
Handler Address: NIBLICK ROAD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAR000295022
Contact Name: JILL WASHBURN
Contact Address: PO BOX 20, DEPT 9938819
ALBERTSONS #6314 (Continued) 1024838000
Owner/Operator Telephone: 208-395-4793
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: JILL WASHBURN
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 20, DEPT. 81014
Owner/Operator City,State,Zip: BOISE, ID 83726
Owner/Operator Telephone: 208-395-3949
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20130408
Handler Name: ALBERTSONS #6314
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 45291
NAICS Description: WAREHOUSE CLUBS AND SUPERCENTERS
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 957 of 1735 ends

TC7484275.8s Page 427
ALBERTSONS 314 (Continued) 1025502094
Contact City,State,Zip: BOISE, ID 83726
Contact Telephone: 208-395-3949
Contact Fax: Not reported
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Private
Federal Waste Generator Description: Conditionally Exempt Small Quantity Generator Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: PO BOX 20, DEPT 9938819
Mailing City,State,Zip: BOISE, ID 83726
Owner Name: Joseph J. Muzzin & Rochelle M. Muzzin
Owner Type: Private
Operator Name: Albertsons 314
Operator Type: Private
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20210928
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 958 of 1735 ends

TC7484275.8s Page 428
ALBERTSONS 314 (Continued) 1025502094
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Biennial: List of Years
Year: 2019
Click Here for Biennial Reporting System Data:

Hazardous Waste Summary:

Waste Code: D001
Waste Description: Ignitable Waste
Waste Code: D002
Waste Description: Corrosive Waste
Waste Code: D005
Waste Description: Barium
Waste Code: D006
Waste Description: Cadmium
Waste Code: D007
Waste Description: Chromium
Waste Code: D008
Waste Description: Lead
Waste Code: D009
Waste Description: Mercury
Waste Code: D010
Waste Description: Selenium
Waste Code: D011
Waste Description: Silver
Waste Code: D018
Waste Description: Benzene
Waste Code: D035
Waste Description: Methyl Ethyl Ketone
Waste Code: P001
Waste Description: 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts, When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & Salts, When Present At Concentrations Greater Than 0.3% Waste Code: P075
Waste Description: Nicotine, & Salts (Or) Pyridine, 3-(1-Methyl-2-Pyrrolidinyl)-,(S)-, & Salts
Waste Code: U002
Waste Description: 2-Propanone (I) (Or) Acetone (I)
Waste Code: U154
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 959 of 1735 ends

TC7484275.8s Page 429
ALBERTSONS 314 (Continued) 1025502094
Waste Description: Methanol (I) (Or) Methyl Alcohol (I) Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: ALBERTSONS LLC
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 20, DEPT 81014
Owner/Operator City,State,Zip: BOISE, ID 83726
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: JOSEPH J. MUZZIN & ROCHELLE M. MUZZIN Legal Status: Private
Date Became Current: 20190628
Date Ended Current: Not reported
Owner/Operator Address: 2671 AMATCHI COURT
Owner/Operator City,State,Zip: TRACY, CA 95304
Owner/Operator Telephone: 209-833-6149
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Operator
Owner/Operator Name: ALBERTSONS 314
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 189 NIBLICK ROAD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Owner
Owner/Operator Name: ALBERTSONS LLC
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 20, DEPT 9938819
Owner/Operator City,State,Zip: BOISE, ID 83726
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: ALBERTSONS 314
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 189 NIBLICK ROAD
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 960 of 1735 ends

TC7484275.8s Page 430
ALBERTSONS 314 (Continued) 1025502094
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Operator
Owner/Operator Name: ALBERTSONS 314
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 189 NIBLICK ROAD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Operator
Owner/Operator Name: ALBERTSONS 314
Legal Status: Private
Date Became Current: 19910717
Date Ended Current: Not reported
Owner/Operator Address: 189 NIBLICK ROAD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-237-1626
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Owner
Owner/Operator Name: ALBERTSONS LLC
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 20, DEPT 9938819
Owner/Operator City,State,Zip: BOISE, ID 83726
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20200214
Handler Name: ALBERTSONS 314
Federal Waste Generator Description: Conditionally Exempt Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
Receive Date: 20190503
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 961 of 1735 ends

TC7484275.8s Page 431
ALBERTSONS 314 (Continued) 1025502094
Handler Name: ALBERTSONS 314
Federal Waste Generator Description: Conditionally Exempt Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
Receive Date: 20200213
Handler Name: ALBERTSONS 314
Federal Waste Generator Description: Conditionally Exempt Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
Receive Date: 20210923
Handler Name: ALBERTSONS 314
Federal Waste Generator Description: Conditionally Exempt Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
List of NAICS Codes and Descriptions:

NAICS Code: 445110
NAICS Description: SUPERMARKETS AND OTHER GROCERY RETAILERS (EXCEPT CONVENIENCE

RETAILERS)
NAICS Code: 44611
NAICS Description: PHARMACIES AND DRUG STORES
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 962 of 1735 ends

TC7484275.8s Page 432
79 JIFFY LUBE #2911 CERS HAZ WASTE S121102680
South 200 OAK HILL CERS TANKS N/A
< 1/8 PASO ROBLES, CA 93446 CUPA Listings
Actual:
703 ft.

Focus Map:
5 0.071 mi. CERS
376 ft.

CERS HAZ WASTE:

Name: JIFFY LUBE #2911
Address: 200 OAK HILL
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 39808
CERS ID: 10437652
CERS Description: Household Hazardous Waste Collection
Name: JIFFY LUBE #2911
Address: 200 OAK HILL
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 39808
CERS ID: 10437652
CERS Description: Hazardous Waste Generator
CERS TANKS:

Name: JIFFY LUBE #2911
Address: 200 OAK HILL
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 39808
CERS ID: 10437652
CERS Description: Aboveground Petroleum Storage
CUPA SAN LUIS OBISPO:

Name: JIFFY LUBE #2911
Address: 200 OAK HILL
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0006834
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0010577
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 0.00000
Longitude: 0.00000
Name: JIFFY LUBE #2911
Address: 200 OAK HILL
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0006834
Program Element Code: 1126
Program Element: HAZWASTE GEN (1-5 WASTE STREAMS)
Record Id: PR0010578
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 0.00000
Longitude: 0.00000
Name: JIFFY LUBE #2911
Address: 200 OAK HILL
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 963 of 1735 ends

TC7484275.8s Page 433
JIFFY LUBE #2911 (Continued) S121102680
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0006834
Program Element Code: 1201
Program Element: AGT ANNUAL TANK PERMIT
Record Id: PR0012467
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 0.00000
Longitude: 0.00000
CERS:

Name: JIFFY LUBE #2911
Address: 200 OAK HILL
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 39808
CERS ID: 10437652
CERS Description: Chemical Storage Facilities
Violations:

Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 06-23-2017
Citation: HSC 6.5 25201(a) - California Health and Safety Code, Chapter 6.5, Section(s) 25201(a)
Violation Description: Failure to dispose of hazardous waste at a facility which has a permit from DTSC or disposing of hazardous waste at any point which is not authorized according to this chapter.

Violation Notes: Returned to compliance on 06/23/2017. Immediately discontinue practice of adding waste oily mop water to waste coolant container. Properly manage and dispose of waste oily water. Retain all manifests for review at next inspection.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 08-27-2014
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to provide and maintain adequate secondary containment.

Violation Notes: Returned to compliance on 09/30/2014. TANKS STORING NEW OIL ARE SINGLE WALLED. WORK BAY IS UNPAINTED CRACKED CONCRETE. SECONDARY CONTAINMENT IS REQUIRED. WITHIN 30 DAYS, PROVIDE ME A PLAN TO REPLACE TANKS WITH

DOUBLE WALLED CONTAINERS, A PLAN TO RESURFACE WORK BAY WITH AN

IMPERMEABLE SURFACE, OR A WRITTEN CERTIFICATION THAT THE CRACKED CONCRETE IS IMPERMEABLE TO OIL.

Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 06-23-2017
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter

6.67, Section(s) 25270.4.5(a)
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 964 of 1735 ends

TC7484275.8s Page 434
JIFFY LUBE #2911 (Continued) S121102680
Violation Description: Failure to include in the SPCC plan and document discharge prevention briefings for oil-handling personnel at least once a year, including, but not limited to, known discharges, failures, and malfunctioning components.

Violation Notes: Returned to compliance on 09/13/2017. Conduct annual Spill Prevention Control and Countermeasure Plan briefing with operating personnel by 7/23/2017 and send your inspector the employee sign-in sheet. The briefing shall be conducted at least once annually and for new employees.

Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 09-02-2015
Citation: HSC 6.95 25508(d) - California Health and Safety Code, Chapter 6.95, Section(s) 25508(d)
Violation Description: Failure to complete and/or electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 11/18/2015. Please change the date range at the top and the certification date at the bottom of the Form S Owner/Operator page.

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to provide and maintain adequate secondary containment.

Violation Notes: Returned to compliance on 09/30/2014.

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to comply with one or more of the following requirements: 1.

Have record of inspections and integrity tests signed by the appropriate supervisor or inspector. 2. Keep written procedures and records of inspections and integrity tests for at least three years.

3. Keep comparison records.

Violation Notes: Returned to compliance on 09/13/2017. Begin conducting regular inspections of the aboveground petroleum-product tanks/containers, piping, valves, gauges, etc. and document with an inspection log.

Maintain copies of the inspections at the facility for at least three years. Send your inspector a copy of the completed inspection log by 7/23/2017.

Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 965 of 1735 ends

TC7484275.8s Page 435
JIFFY LUBE #2911 (Continued) S121102680
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 09-02-2015
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit hazardous material inventory information for all reportable hazardous materials on site at or above reportable quantities.

Violation Notes: Returned to compliance on 11/18/2015. Please verify and update your chemical inventory (new oil, waste oil, new antifreeze, waste antifreeze).

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 08-27-2013
Citation: HSC 6.95 25505(a) - California Health and Safety Code, Chapter 6.95, Section(s) 25505(a)
Violation Description: Owner/Operator failed to complete and/or submit a Hazardous Materials Business Plan when storing hazardous materials at or above the thresholds quantities of 55 gallons/500 lbs/200 cubic feet.

Violation Notes: Returned to compliance on 04/29/2014.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 02-22-2021
Citation: 40 CFR 1 265.173 - U.S. Code of Federal Regulations, Title 40, Chapter 1, Section(s) 265.173
Violation Description: Failure to meet the following container management requirements: (a) A container holding hazardous waste must always be closed during storage, except when it is necessary to add or remove waste. (b) A container holding hazardous waste must not be opened, handled, or stored in a manner which may rupture the container or cause it to leak.

Violation Notes: Returned to compliance on 03/03/2021. Observed waste oil/water drums open and missing lids. Close drums and secure lid with locking clamp, document with photo, and send to your inspector at [email protected] by 3/24/2021.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 08-27-2013
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to prepare and implement a Spill Prevention Control and Countermeasure (SPCC) Plan .

Violation Notes: Returned to compliance on 09/30/2014.

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 966 of 1735 ends

TC7484275.8s Page 436
JIFFY LUBE #2911 (Continued) S121102680
Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 02-22-2021
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 04/13/2021. Electronically submit the Hazardous Materials Business Plan online at cers.calepa.ca.gov by 3/24/2021. Update Secondary Emergency Contact for Damon Badenell.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 06-23-2017
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter

6.95, Section(s) 25505(a)(4)
Violation Description: Failure to provide initial and annual training to all employees in safety procedures in the event of a release or threatened release of a hazardous material or failure to document and maintain training records for a minimum of three years.

Violation Notes: Returned to compliance on 09/13/2017. Conduct required employee training (Hazard Communication, Emergency Response, SPCC) by 7/23/2017 and submit documentation of training to your inspector at [email protected] or fax to (805) 781-4211 Attn Mattie. See At18.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 01-23-2019
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to conduct spill prevention briefing for oil-handling personnel at least once a year to assure adequate understanding of the SPCC Plan.

Violation Notes: Returned to compliance on 02/23/2019. Conduct annual Spill Prevention Control and Countermeasure Plan briefing with operating personnel by 2/23/2019 and send your inspector the employee sign-in sheet. The briefing shall be conducted at least annually and for new employees.

Last noted SPCC briefing was in 2017.

Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 07-06-2022
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 967 of 1735 ends

TC7484275.8s Page 437
JIFFY LUBE #2911 (Continued) S121102680

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to conduct spill prevention briefing for oil-handling personnel at least once a year to assure adequate understanding of the SPCC Plan.

Violation Notes: Returned to compliance on 08/24/2022. Conduct annual SPCC briefing with operating personnel and provide sign-in sheet to your inspector at [email protected] within 30 days.

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to comply with one or more of the following requirements: 1.

Have record of inspections and tests, including integrity tests, signed by the appropriate supervisor or inspector. 2. Keep written procedures and records of inspections and tests, including integrity tests, for at least three years. 3. Keep comparison records.

Violation Notes: Returned to compliance on 07/11/2022. Send inspector copy of June 2022 SPCC monthly inspection to [email protected] within 30 days. Unable to locate during inspection.

6.67, Section(s) 25270.4.5(a)
Violation Description: Failure to schedule and conduct spill prevention briefings at least once a year.

Violation Notes: Returned to compliance on 09/30/2014.

Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 08-27-2013
Citation: HSC 6.95 25504(a) - California Health and Safety Code, Chapter 6.95, Section(s) 25504(a)
Violation Description: Failure to complete and/or submit hazardous material inventory forms for all reportable hazardous materials on site.

Violation Notes: Returned to compliance on 04/29/2014.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 01-21-2020
Citation: HSC 6.67 25270.4.5(a) - California Health and Safety Code, Chapter

6.67, Section(s) 25270.4.5(a)
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 968 of 1735 ends

TC7484275.8s Page 438
JIFFY LUBE #2911 (Continued) S121102680
Violation Description: Failure to conduct spill prevention briefing for oil-handling personnel at least once a year to assure adequate understanding of the SPCC Plan.

Violation Notes: Returned to compliance on 07/20/2020. Send your inspector a copy of employee sign-in sheet for annual SPCC Plan briefing conducted with operating personnel at [email protected] by 2/21/2020. Training unable to be located during inspection.

Violation Division: San Luis Obispo County Environmental Health Violation Program: APSA
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 06-23-2017
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

Violation Notes: Returned to compliance on 08/31/2017. Electronically update/certify Chemical Inventory of Hazardous Materials Business Plan by 7/23/2017 (SLO County Portal www.ezsubmitslogov.org). Add waste coolant (largest container and max. daily amount 200 gal). Add oily waste water stream.

Update new motor oil max. daily amount to 3,750 gal.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 39808
Site Name: JIFFY LUBE #2911
Violation Date: 01-23-2019
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

Violation Notes: Returned to compliance on 02/25/2019. Electronically update Chemical Inventory of Hazardous Materials Business Plan by 2/23/2019. Increase waste oil/water maximum daily amount to 165 gallons.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-21-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-21-2020
Violations Found: Yes
Eval Type: Routine done by local agency
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 969 of 1735 ends

TC7484275.8s Page 439
JIFFY LUBE #2911 (Continued) S121102680
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 02-22-2021
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 03-08-2021
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. Received photo of closed drums.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 04-14-2021
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. HMBP review and approval.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-06-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-27-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-23-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 970 of 1735 ends

TC7484275.8s Page 440
JIFFY LUBE #2911 (Continued) S121102680
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-23-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not reviewed during inspection. Update Manager information on Emergency Response/Contingency plan.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 02-22-2021
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Johnny Garcia.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 02-25-2019
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation noted as corrected.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-23-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-06-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Johnny Garcia.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 08-01-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 971 of 1735 ends

TC7484275.8s Page 441
JIFFY LUBE #2911 (Continued) S121102680
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 08-24-2022
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. SPCC training received.

Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-27-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-27-2014
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 08-31-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Accept HMBP submission
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-02-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 09-30-2014
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 972 of 1735 ends

TC7484275.8s Page 442
JIFFY LUBE #2911 (Continued) S121102680
Eval Date: 11-18-2015
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-27-2013
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 09-14-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 02-22-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 02-25-2019
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation noted as corrected. SPCC briefing received.

Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 04-29-2014
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-06-2022
Violations Found: Yes
Eval Type: Routine done by local agency
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 973 of 1735 ends

TC7484275.8s Page 443
JIFFY LUBE #2911 (Continued) S121102680
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-20-2020
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation noted as corrected. SPCC training received.

Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-27-2013
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-27-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-02-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Please expedite the floor sealing project in the lower bay. Currently the floor is unsurfaced concrete with many cracks. Several tanks are single walled. regulations require secondary containment for tanks.

Sealing the floor with a chemically compatible surface will suffice for secondary containment.

Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-02-2015
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 09-13-2017
Violations Found: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 974 of 1735 ends

TC7484275.8s Page 444
JIFFY LUBE #2911 (Continued) S121102680
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 09-14-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-21-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. Note: Facility is due to submit Hazardous Materials Business Plan no later than 2/25/2020. Please review Chemical Inventory during next submission and update as needed (i.e. new oil quantities).

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-23-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-23-2019
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: APSA
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-23-2019
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not reviewed during inspection. Ensure drums containing waste oil/water are stored in secondary containment.

Observed one drum of waste oil/water located next to spill containment pallet. Move drum onto spill pallet.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 975 of 1735 ends

TC7484275.8s Page 445
JIFFY LUBE #2911 (Continued) S121102680
Affiliation:

Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Affiliation Type Desc: Operator
Entity Name: SEAN PORCHER
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (805) 354-7077,
Affiliation Type Desc: Parent Corporation
Entity Name: My Jiffy Lube Group
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Environmental Contact
Entity Name: Gene Cantrell
Entity Title: Not reported
Affiliation Address: 1440 Jason Way, Ste. 100
Affiliation City: Santa Maria
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93455
Affiliation Phone: ,
Affiliation Type Desc: Legal Owner
Entity Name: SEAN PORCHER
Entity Title: Not reported
Affiliation Address: 1440 JASON WAY STE 100
Affiliation City: SANTA MARIA
Affiliation State: CA
Affiliation Country: United States
Affiliation Zip: 93455
Affiliation Phone: (805) 354-7077,
Affiliation Type Desc: Property Owner
Entity Name: Phase II Realty, LLC
Entity Title: Not reported
Affiliation Address: 1440 Jason Way Ste 100
Affiliation City: Santa Maria
Affiliation State: CA
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 976 of 1735 ends

TC7484275.8s Page 446
K80 PASO ROBLES JIFFY LUBE #2911 RCRA NonGen / NLR 1024810420 South 200 OAK HILL RD CAL000289624
< 1/8 PASO ROBLES, CA 93446
Actual:
713 ft.

Focus Map:
5 0.072 mi.
378 ft. Site 2 of 2 in cluster K
RCRA Listings:

Date Form Received by Agency: 20041222
Handler Name: Paso Robles Jiffy Lube #2911
Handler Address: 200 OAK HILL RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000289624
Contact Name: SEAN PORCHER
Contact Address: 1440 JASON WAY STE 100
Contact City,State,Zip: SANTA MARIA, CA 93455
Contact Telephone: 805-354-7077
Contact Fax: 805-354-7099
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: 1440 JASON WAY STE 100
Mailing City,State,Zip: SANTA MARIA, CA 93455-0000
Owner Name: Edward J Petrilli
Owner Type: Other
Operator Name: Sean Porcher
JIFFY LUBE #2911 (Continued) S121102680
Affiliation Country: United States
Affiliation Zip: 93455
Affiliation Phone: (805) 354-7077,
Affiliation Type Desc: Document Preparer
Entity Name: Gene Cantrell
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: 1440 JASON WAY STE 100
Affiliation City: SANTA MARIA
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 9355
Affiliation Phone: ,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 977 of 1735 ends

TC7484275.8s Page 447
PASO ROBLES JIFFY LUBE #2911 (Continued) 1024810420
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: Yes
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20180905
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Operator
Owner/Operator Name: SEAN PORCHER
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 1440 JASON WAY STE 100
Owner/Operator City,State,Zip: SANTA MARIA, CA 93455
Owner/Operator Telephone: 805-354-7077
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 978 of 1735 ends

TC7484275.8s Page 448
J81 BIG BRAND TIRE & SERVICE #11 CUPA Listings S113466165 North 91 CARY ST HWTS N/A
< 1/8 PASO ROBLES, CA 93446 HAZNET
Actual:
734 ft.

Focus Map:
2 0.073 mi.
383 ft. Site 2 of 3 in cluster J
CUPA SAN LUIS OBISPO:

Name: BIG BRAND TIRE SERVICE COMPANY
Address: 91 CARY ST
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0006883
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0014863
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61597
Longitude: 120.67995
PASO ROBLES JIFFY LUBE #2911 (Continued) 1024810420
Owner/Operator Name: EDWARD J PETRILLI
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 1440 JASON WAY STE 100
Owner/Operator City,State,Zip: SANTA MARIA, CA 93455-0000 Owner/Operator Telephone: 805-354-7077
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20041222
Handler Name: PASO ROBLES JIFFY LUBE #2911
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 811198
NAICS Description: ALL OTHER AUTOMOTIVE REPAIR AND MAINTENANCE Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 979 of 1735 ends

TC7484275.8s Page 449
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Name: BIG BRAND TIRE SERVICE COMPANY
Address: 91 CARY ST
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0006883
Program Element Code: 1126
Program Element: HAZWASTE GEN (1-5 WASTE STREAMS)
Record Id: PR0014864
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61597
Longitude: 120.67995
HWTS:

Name: BIG BRAND TIRE & SERVICE #11
Address: 91 CARY ST
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000462966
Inactive Date: Not reported
Create Date: 06/02/2021
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: 14401 PRINCETON AVE
Mailing Address 2: Not reported
Mailing City,State,Zip: MOORPARK, CA 930210000
Owner Name: CANTER BUYER LLC
Owner Address: 50-60 FRANCISCO ST
Owner Address 2: Not reported
Owner City,State,Zip: SAN FRANCISCO, CA 94133
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: MATT ECKMAN
Contact Address: 14401 PRINCETON AVE
Contact Address 2: Not reported
City,State,Zip: MOORPARK, CA 93021
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Active
Facility Type: PERMANENT
Category: STATE
Latitude: 35.378154
Longitude: -119.017602
NAICS:

EPA ID: CAL000462966
Create Date: 2021-06-02 12:33:37.767
NAICS Code: 811111
NAICS Description: General Automotive Repair
Issued EPA ID Date: 2021-06-02 12:33:37.74700
Inactive Date: Not reported
Facility Name: BIG BRAND TIRE & SERVICE #11
Facility Address: 91 CARY ST
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 980 of 1735 ends

TC7484275.8s Page 450
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Facility Zip: 93446
Name: BIG BRAND TIRE & SERVICE #11
Address: 91 CARY ST
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000311534
Inactive Date: 06/30/2021
Create Date: 09/13/2006
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: 14401 PRINCETON AVE.

Mailing Address 2: Not reported
Mailing City,State,Zip: MOORPARK, CA 930210000
Owner Name: MAJCO INC
Owner Address: 14401 PRINCETON AVE.

Owner Address 2: Not reported
Owner City,State,Zip: MOORPARK, CA 930210000
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: MAJCO. INC.

Contact Address: 14401 PRINCETON AVE.

Contact Address 2: Not reported
City,State,Zip: MOORPARK, CA 93021
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Inactive
Facility Type: PERMANENT
Category: STATE
Latitude: 35.041348
Longitude: -120.498656
NAICS:

EPA ID: CAL000311534
Create Date: 2006-09-13 16:02:10.647
NAICS Code: 44132
NAICS Description: Tire Dealers
Issued EPA ID Date: 2006-09-13 16:02:10.61700
Inactive Date: Not reported
Facility Name: BIG BRAND TIRE & SERVICE #11
Facility Address: 91 CARY ST
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Facility Zip: 934460000
HAZNET:

Name: BIG BRAND TIRE & SERVICE #11
Address: 91 CARY ST
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 934460000
Contact: MAJCO. INC.

Telephone: 8053880223
Mailing Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 981 of 1735 ends

TC7484275.8s Page 451
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Mailing Address: 14401 PRINCETON AVE.

Year: 2021
Gepaid: CAL000311534
TSD EPA ID: UTD991301748
CA Waste Code: 223 - Unspecified oil-containing waste
Disposal Method: H132 - Landfill Or Surface Impoundment That Will Be Closed As Landfill( To Include On-Site Treatment And/Or Stabilization) Tons: 0.075
Year: 2021
Gepaid: CAL000311534
TSD EPA ID: UTD991301748
CA Waste Code: 352 - Other organic solids
Disposal Method: H132 - Landfill Or Surface Impoundment That Will Be Closed As Landfill( To Include On-Site Treatment And/Or Stabilization) Tons: 0.05
Year: 2020
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.075
Year: 2020
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Tons: 0.465
Year: 2019
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.16250
Year: 2019
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: -
Tons: 0.30000
Year: 2019
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Tons: 0.90000
Year: 2018
Gepaid: CAL000311534
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 982 of 1735 ends

TC7484275.8s Page 452
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Tons: 0.67500
Year: 2018
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.15000
Year: 2017
Gepaid: CAL000311534
TSD EPA ID: CAL000330453
CA Waste Code: 352 - Other organic solids
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.075
Click this hyperlink while viewing on your computer to access 3 additional CA HAZNET: record(s) in the EDR Site Report.

Additional Info:

Year: 2021
Gen EPA ID: CAL000311534
Shipment Date: 8/20/2020
Creation Date: 10/7/2020
Receipt Date: 8/20/2020
Manifest ID: 030023705WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.24
Waste Quantity: 480
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 8/20/2020
Creation Date: 10/7/2020
Receipt Date: 8/20/2020
Manifest ID: 030023705WAS
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 983 of 1735 ends

TC7484275.8s Page 453
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 7/9/2020
Creation Date: 9/9/2020
Receipt Date: 7/9/2020
Manifest ID: 030023341WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 1/16/2020
Creation Date: 2/3/2020
Receipt Date: 1/21/2020
Manifest ID: 030013621WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 984 of 1735 ends

TC7484275.8s Page 454
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: - Not reported
Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 1/16/2020
Creation Date: 2/3/2020
Receipt Date: 1/21/2020
Manifest ID: 030013621WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.15
Waste Quantity: 300
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2020
Gen EPA ID: CAL000311534
Shipment Date: 8/20/2020
Creation Date: 10/7/2020
Receipt Date: 8/20/2020
Manifest ID: 030023705WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.075
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 985 of 1735 ends

TC7484275.8s Page 455
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 8/20/2020
Creation Date: 10/7/2020
Receipt Date: 8/20/2020
Manifest ID: 030023705WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.24
Waste Quantity: 480
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 7/9/2020
Creation Date: 9/9/2020
Receipt Date: 7/9/2020
Manifest ID: 030023341WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 1/16/2020
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 986 of 1735 ends

TC7484275.8s Page 456
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Creation Date: 2/3/2020
Receipt Date: 1/21/2020
Manifest ID: 030013621WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: - Not reported
Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 1/16/2020
Creation Date: 2/3/2020
Receipt Date: 1/21/2020
Manifest ID: 030013621WAS
Trans EPA ID: CAL000368136
Trans Name: AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: AGRITEC INT DBA CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.15
Waste Quantity: 300
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2017
Gen EPA ID: CAL000311534
Shipment Date: 20171121
Creation Date: 6/13/2018 18:31:23
Receipt Date: 20171130
Manifest ID: 018042659JJK
Trans EPA ID: CAL000368136
Trans Name: CLEANTECH ENVIRONMENTAL
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 987 of 1735 ends

TC7484275.8s Page 457
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.1
Waste Quantity: 200
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20171003
Creation Date: 6/13/2018 18:30:25
Receipt Date: 20171006
Manifest ID: 017878590JJK
Trans EPA ID: CAL000368136
Trans Name: CLEANTECH ENVIRONMENTAL INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.1
Waste Quantity: 200
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170810
Creation Date: 6/13/2018 18:30:51
Receipt Date: 20170817
Manifest ID: 017503900JJK
Trans EPA ID: CAL000368136
Trans Name: CLEANTECH ENVIRONMENTAL INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 988 of 1735 ends

TC7484275.8s Page 458
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Quantity Tons: 0.1
Waste Quantity: 200
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170712
Creation Date: 6/20/2018 18:31:06
Receipt Date: 20170713
Manifest ID: 017505933JJK
Trans EPA ID: CAL000368136
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.075
Waste Quantity: 150
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170712
Creation Date: 6/20/2018 18:31:06
Receipt Date: 20170713
Manifest ID: 017505933JJK
Trans EPA ID: CAL000368136
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.1
Waste Quantity: 200
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 989 of 1735 ends

TC7484275.8s Page 459
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Shipment Date: 20170315
Creation Date: 5/9/2018 18:31:26
Receipt Date: 20170322
Manifest ID: 017029945JJK
Trans EPA ID: CAL000368136
Trans Name: CLEANTECH ENVIRONMENTAL INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.2
Waste Quantity: 400
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170105
Creation Date: 5/24/2017 18:30:17
Receipt Date: 20170112
Manifest ID: 016700840JJK
Trans EPA ID: CAL000368136
Trans Name: CLEANTECH ENVIRONMENTAL, INC.

Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAL000330453
Trans Name: CLEANTECH ENVIRONMENTAL
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 352 - Other organic solids
RCRA Code: Not reported
Meth Code: H010 - Metals Recovery Including Retoring,Smelting,Chemicals,Ect Quantity Tons: 0.1
Waste Quantity: 200
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2010
Gen EPA ID: CAL000311534
Shipment Date: 20101229
Creation Date: 5/24/2011 18:30:28
Receipt Date: 20110107
Manifest ID: 002161804SKS
Trans EPA ID: TXR000050930
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 990 of 1735 ends

TC7484275.8s Page 460
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 213 - Hydrocarbon solvents (benzene, hexane, Stoddard, etc.

RCRA Code: D039
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.03336
Waste Quantity: 8
Quantity Unit: G
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20100826
Creation Date: 2/1/2011 18:30:08
Receipt Date: 20100908
Manifest ID: 002431671SKS
Trans EPA ID: TXR000050930
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 213 - Hydrocarbon solvents (benzene, hexane, Stoddard, etc.

RCRA Code: D039
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.03336
Waste Quantity: 8
Quantity Unit: G
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20100520
Creation Date: 12/30/2010 18:30:08
Receipt Date: 20100602
Manifest ID: 002341628SKS
Trans EPA ID: TXR000050930
Trans Name: SAFETY-KLEEN SYSTEMS INC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: SAFETY-KLEEN SYSTEMS INC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 991 of 1735 ends

TC7484275.8s Page 461
J83 BIG BRAND TIRE SERVICE COMPANY S111082742 AST
NNW 91 CARY ST CERS HAZ WASTE N/A
< 1/8 PASO ROBLES, CA 93446 CERS
Actual:
734 ft.

Focus Map:
2 0.089 mi.
470 ft. Site 3 of 3 in cluster J
AST:

Name: BIG BRAND TIRE COMPANY
Address: 91 CARY ST
City/Zip: PASO ROBLES,93446
Certified Unified Program Agencies: Not reported
Owner: MAJCO INC dba: BIG BRAND TIRE CO
Total Gallons: Not reported
CERSID: 10438192
Facility ID: Not reported
Business Name: BIG BRAND TIRE COMPANY
Phone: 8052260901
Fax: Not reported
Mailing Address: 91 CARY ST
Mailing Address City: PASO ROBLES
Mailing Address State: CA
Mailing Address Zip Code: 93446
Operator Name: Majco Inc dba: Big Brand Tire
Operator Phone: 8053880223
Owner Phone: 8053880223
Owner Mail Address: 805 VIA ALONDRA
Owner State: CA
Owner Zip Code: 93012
Owner Country: United States
82 STATION EDR Hist Auto 1021966097
South 1509 COUNTRY CLUB DR 10 N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
782 ft.

Focus Map:
5 0.083 mi.
440 ft.

EDR Hist Auto
Year: Name: Type:
1989 THE STATION Gasoline Service Stations
1991 STATION Gasoline Service Stations
1992 STATION Gasoline Service Stations
1993 STATION Gasoline Service Stations
BIG BRAND TIRE & SERVICE #11 (Continued) S113466165
Waste Code Description: 213 - Hydrocarbon solvents (benzene, hexane, Stoddard, etc.

Page 992 of 1735 ends

TC7484275.8s Page 462
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Property Owner Name: Not reported
Property Owner Phone: Not reported
Property Owner Mailing Address: Not reported
Property Owner City: Not reported
Property Owner Stat : Not reported
Property Owner Zip Code: Not reported
Property Owner Country: Not reported
EPAID: CAL000311534
CERS HAZ WASTE:

Name: BIG BRAND TIRE SERVICE COMPANY
Address: 91 CARY ST
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 12152
CERS ID: 10438192
CERS Description: Hazardous Waste Generator
CERS:

Name: BIG BRAND TIRE SERVICE COMPANY
Address: 91 CARY ST
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 12152
CERS ID: 10438192
CERS Description: Chemical Storage Facilities
Violations:

Site ID: 12152
Site Name: BIG BRAND TIRE SERVICE COMPANY
Violation Date: 09-04-2014
Citation: HSC 6.5 Multiple Sections - California Health and Safety Code, Chapter

6.5, Section(s) Multiple Sections
Violation Description: Haz Waste Generator Program - Operations/Maintenance - General Violation Notes: Returned to compliance on 10/30/2014. PLEASE ENSURE DRUMS IN USED TIRE ENCLOSURE ARE COMPLETELY DRAINED AND SENT OFF FOR RECYCLING. SEND ME AN EMAIL WHEN COMPLETED.

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 11/04/2022. Electronically update Hazardous Materials Business Plan online at cers.calepa.ca.gov within 30 days.

Update primary and secondary emergency contact.

Page 993 of 1735 ends

TC7484275.8s Page 463
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

Violation Notes: Returned to compliance on 07/20/2017. Electronically update Chemical Inventory of Hazardous Materials Business Plan, preferably through the SLO County Portal (www.ezsubmitslogov.org) by 7/5/2017. Increase maximum daily amount of new motor oil to 775 gallons. Increase largest container and maximum daily amount of parts washer to 30 gallons.

Remove nitrogen (compressor not stored nitrogen?)
Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 12152
Site Name: BIG BRAND TIRE SERVICE COMPANY
Violation Date: 08-11-2022
Citation: 22 CCR 15 66265.31 - California Code of Regulations, Title 22, Chapter 15, Section(s) 66265.31
Violation Description: Failure to maintain and operate the facility to minimize the possibility of a fire, explosion, or any unplanned sudden or non-sudden release of hazardous waste or hazardous waste constituents to air, soil, or surface water which could threaten human health or the environment.

Violation Notes: Returned to compliance on 08/19/2022. Clean oil spill beneath bulk oil tank rack and repair leak if present. Provide photo to your inspector at [email protected] within 30 days.

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 06/13/2018. Business plan updated during inspection. No violation.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 12152
Site Name: BIG BRAND TIRE SERVICE COMPANY
Violation Date: 06-05-2017
Citation: 40 CFR 1 265.173 - U.S. Code of Federal Regulations, Title 40, Chapter 1, Section(s) 265.173
Violation Description: Failure to meet the following container management requirements: (a) A container holding hazardous waste must always be closed during storage, except when it is necessary to add or remove waste. (b) A container holding hazardous waste must not be opened, handled, or stored in a manner which may rupture the container or cause it to leak.

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 994 of 1735 ends

TC7484275.8s Page 464
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Violation Notes: Returned to compliance on 06/05/2017. Maintain containers storing used oil and oil filters closed when not actively transferring contents.

Observed lid off of used oil tank and 5-gallon open bucket of oil sitting next to tank.

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 06/24/2020. Electronically update Secondary Emergency Contact of Hazardous Materials Business Plan online at www.ezsubmitslogov.org within 30 days.

Violation Notes: Returned to compliance on 07/02/2021. Oil filters shall be emptied of all free flowing oil to experience scrap metal recycling exemption.

Begin puncturing or crushing metal filters to allow for proper drainage or manage filters as a hazardous waste.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 12152
Site Name: BIG BRAND TIRE SERVICE COMPANY
Violation Date: 08-11-2022
Citation: HSC 6.5 25250.22 - California Health and Safety Code, Chapter 6.5, Section(s) 25250.22
Violation Description: Failure to properly manage used oil and/or fuel filters in accordance with the requirements.

Violation Notes: Returned to compliance on 08/19/2022. Metal oil filters observed without check-valve manipulated (puncture or crushed) and disposed of on consolidated manifest. Puncture or crush metal filters and provide photo to your inspector at [email protected] within 30 days.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 12152
Site Name: BIG BRAND TIRE SERVICE COMPANY
Violation Date: 04-22-2019
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 995 of 1735 ends

TC7484275.8s Page 465
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a site map with all required content.

Violation Notes: Returned to compliance on 06/17/2019. Your business plan update is not due until July 2019, however, the location of your new oil has changed. Please update your site map to show the new locations.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-05-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-11-2020
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. Please place absorbent sock around waste oil storage area. In light of COVID-19, CUPA Inspector signing for Don Greaver.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-13-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-20-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-11-2022
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Ryan Cadwallader.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 996 of 1735 ends

TC7484275.8s Page 466
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 08-19-2022
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. Received photos of cleaned oil spill and punctured filters.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 10-30-2014
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 11-08-2022
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. HMBP review and approval.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 11-20-2015
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-22-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 06-05-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 997 of 1735 ends

TC7484275.8s Page 467
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-05-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not reviewed during inspection. Replace absorbent sock around waste oil storage area.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-07-2020
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation noted as corrected. Secondary EC updated on CERS.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-09-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-10-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-22-2019
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-13-2018
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 06-17-2019
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 998 of 1735 ends

TC7484275.8s Page 468
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: HMBP info received.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-11-2022
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-11-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Place absorbant sock around used oil tank and send picture to your inspector at [email protected] Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Shane Wolfarth.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-04-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-10-2015
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 999 of 1735 ends

TC7484275.8s Page 469
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-04-2014
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-09-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Coordinates:

Site ID: 12152
Facility Name: BIG BRAND TIRE SERVICE COMPANY
Env Int Type Code: HMBP
Program ID: 10438192
Coord Name: Not reported
Ref Point Type Desc: Center of a facility or station.,
Latitude: 35.616540
Longitude: -120.679580
Affiliation:

Page 1000 of 1735 ends

TC7484275.8s Page 470
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Affiliation Type Desc: Legal Owner
Entity Name: MAJCO INC
Entity Title: Not reported
Affiliation Address: 14401 Princeton Ave
Affiliation City: Moorpark
Affiliation State: CA
Affiliation Country: United States
Affiliation Zip: 93021
Affiliation Phone: (805) 388-0223,
Affiliation Type Desc: Operator
Entity Name: MAJCO, LLC;
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (805) 388-0223,
Affiliation Type Desc: Parent Corporation
Entity Name: Big Brand Tire
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Identification Signer
Entity Name: Michael Humbach
Entity Title: Director- of Retail Commercial Operations Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Environmental Contact
Entity Name: Michael Humbach
Entity Title: Not reported
Affiliation Address: 14401 Princeton Ave
Affiliation City: Moorpark
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 930211483
Affiliation Phone: ,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: 14401 Princeton Ave
Affiliation City: Moorpark
Affiliation State: CA
Affiliation Country: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1001 of 1735 ends

TC7484275.8s Page 471
O84 ROSEMARIE OEDER RCRA NonGen / NLR 1027087272
South 1513 FAIRWAY DRIVE CAC003159637
< 1/8 PASO ROBLES, CA 93446
Actual:
801 ft.

Focus Map:
5 0.123 mi.
652 ft. Site 1 of 2 in cluster O
RCRA Listings:

Date Form Received by Agency: 20220201
Handler Name: Rosemarie Oeder
Handler Address: 1513 FAIRWAY DRIVE
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAC003159637
Contact Name: STEVE SWIACKI
Contact Address: 650 WARD DRIVE, SUITE 100
Contact City,State,Zip: GOLETA, CA 93111
Contact Telephone: 805-962-4555
Contact Fax: Not reported
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Not reported
State District Owner: Not reported
State District: Not reported
Mailing Address: 1513 FAIRWAY DRIVE
Mailing City,State,Zip: PASO ROBLES, CA 93446
Owner Name: Rosemarie Oeder
Owner Type: Other
Operator Name: Steve Swiacki
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
BIG BRAND TIRE SERVICE COMPANY (Continued) S111082742
Affiliation Zip: 930211483
Affiliation Phone: ,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1002 of 1735 ends

TC7484275.8s Page 472
ROSEMARIE OEDER (Continued) 1027087272
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20220201
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: ROSEMARIE OEDER
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 1513 FAIRWAY DRIVE
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-835-8774
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: STEVE SWIACKI
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 650 WARD DRIVE, SUITE 100
Owner/Operator City,State,Zip: GOLETA, CA 93111
Owner/Operator Telephone: 805-962-4555
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20220201
Handler Name: ROSEMARIE OEDER
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1003 of 1735 ends

TC7484275.8s Page 473
85 CITY OF PASO ROBLES FIRE DEPARTMENT 1024849367 RCRA NonGen / NLR SE 235 SANTA FE AVE CAL000405946
1/8-1/4 PASO ROBLES, CA 93446
Actual:
807 ft.

Focus Map:
6 0.131 mi.
693 ft.

RCRA Listings:

Date Form Received by Agency: 20150413
Handler Name: City Of Paso Robles Fire Department
Handler Address: 235 SANTA FE AVE
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000405946
Contact Name: BOB SOLWAY
Contact Address: 625 RIVERSIDE AVE
Contact City,State,Zip: PASO ROBLES, CA 93446
Contact Telephone: 805-423-8250
Contact Fax: 805-237-4047
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: 625 RIVERSIDE AVE
Mailing City,State,Zip: PASO ROBLES, CA 93446-2636
Owner Name: City Of Paso Robles
Owner Type: Other
Operator Name: Bob Solway
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
ROSEMARIE OEDER (Continued) 1027087272
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
List of NAICS Codes and Descriptions:

NAICS Code: 56299
NAICS Description: ALL OTHER WASTE MANAGEMENT SERVICES
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1004 of 1735 ends

TC7484275.8s Page 474
CITY OF PASO ROBLES FIRE DEPARTMENT (Continued) 1024849367 Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: Yes
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20180906
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Operator
Owner/Operator Name: BOB SOLWAY
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 625 RIVERSIDE AVE
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-423-8250
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: CITY OF PASO ROBLES
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 1000 SPRING ST
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-237-3874
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1005 of 1735 ends

TC7484275.8s Page 475
P86 AUSTIN JONES RCRA NonGen / NLR 1025839299
South 180 NIBLICK ROAD CAC003018898
1/8-1/4 PASO ROBLES, CA 93446
Actual:
711 ft.

Focus Map:
5 0.132 mi.
697 ft. Site 1 of 6 in cluster P
RCRA Listings:

Date Form Received by Agency: 20190610
Handler Name: Austin Jones
Handler Address: 180 NIBLICK ROAD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAC003018898
Contact Name: AUSTIN JONES
Contact Address: 180 NIBLICK ROAD
Contact City,State,Zip: PASO ROBLES, CA 93446
Contact Telephone: 888-380-8664
Contact Fax: Not reported
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
CITY OF PASO ROBLES FIRE DEPARTMENT (Continued) 1024849367 Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20150413
Handler Name: CITY OF PASO ROBLES FIRE DEPARTMENT
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 92112
NAICS Description: LEGISLATIVE BODIES
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1006 of 1735 ends

TC7484275.8s Page 476
AUSTIN JONES (Continued) 1025839299
State District: Not reported
Mailing Address: 180 NIBLICK ROAD
Mailing City,State,Zip: PASO ROBLES, CA 93446
Owner Name: Austin Jones
Owner Type: Other
Operator Name: Austin Jones
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: Yes
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20190627
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: AUSTIN JONES
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 180 NIBLICK ROAD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1007 of 1735 ends

TC7484275.8s Page 477
P87 MYCON GENERAL CONTRACTORS RCRA NonGen / NLR 1027087798 South 180 NIBLICK RD CAC003160184
1/8-1/4 PASO ROBLES, CA 93446
Actual:
711 ft.

Focus Map:
5 0.132 mi.
697 ft. Site 2 of 6 in cluster P
RCRA Listings:

Date Form Received by Agency: 20220203
Handler Name: Mycon General Contractors
Handler Address: 180 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAC003160184
Contact Name: DAVID ROSAS
Contact Address: 17311 DALLAS PKWY SUITE 300
AUSTIN JONES (Continued) 1025839299
Owner/Operator Telephone: 888-380-8664
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: AUSTIN JONES
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 180 NIBLICK ROAD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 888-380-8664
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20190610
Handler Name: AUSTIN JONES
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 711510
NAICS Description: INDEPENDENT ARTISTS, WRITERS, AND PERFORMERS Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1008 of 1735 ends

TC7484275.8s Page 478
MYCON GENERAL CONTRACTORS (Continued) 1027087798
Contact City,State,Zip: DALLAS, TX 75248
Contact Telephone: 830-431-1287
Contact Fax: Not reported
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Not reported
State District Owner: Not reported
State District: Not reported
Mailing Address: 17311 DALLAS PKWY SUITE 300
Mailing City,State,Zip: DALLAS, TX 75248
Owner Name: Mycon General Contractors
Owner Type: Other
Operator Name: David Rosas
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20220204
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1009 of 1735 ends

TC7484275.8s Page 479
MYCON GENERAL CONTRACTORS (Continued) 1027087798
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: MYCON GENERAL CONTRACTORS
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 17311 DALLAS PKWY SUITE 300
Owner/Operator City,State,Zip: DALLAS, TX 75248
Owner/Operator Telephone: 830-431-1287
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: DAVID ROSAS
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 17311 DALLAS PKWY SUITE 300
Owner/Operator City,State,Zip: DALLAS, TX 75248
Owner/Operator Telephone: 830-431-1287
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20220203
Handler Name: MYCON GENERAL CONTRACTORS
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
List of NAICS Codes and Descriptions:

NAICS Code: 56299
NAICS Description: ALL OTHER WASTE MANAGEMENT SERVICES
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1010 of 1735 ends

TC7484275.8s Page 480
P88 WALMART C/O TESLA ENERGY RCRA NonGen / NLR 1027202334 South 180 NIBLICK RD CAC003166214
1/8-1/4 PASO ROBLES, CA 93446
Actual:
711 ft.

Focus Map:
5 0.132 mi.
697 ft. Site 3 of 6 in cluster P
RCRA Listings:

Date Form Received by Agency: 20220314
Handler Name: Walmart C/O Tesla Energy
Handler Address: 180 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAC003166214
Contact Name: RYAN P MCGOVERN
Contact Address: 714 BROOK ST
Contact City,State,Zip: ROCKY HILL, CT 06067
Contact Telephone: 508-340-1745
Contact Fax: Not reported
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Not reported
State District Owner: Not reported
State District: Not reported
Mailing Address: 714 BROOK ST
Mailing City,State,Zip: ROCKY HILL, CT 06067
Owner Name: Ryan P Mcgovern
Owner Type: Other
Operator Name: Ryan P Mcgovern
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1011 of 1735 ends

TC7484275.8s Page 481
WALMART C/O TESLA ENERGY (Continued) 1027202334
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20220314
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Operator
Owner/Operator Name: RYAN P MCGOVERN
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 714 BROOK ST
Owner/Operator City,State,Zip: ROCKY HILL, CT 06067
Owner/Operator Telephone: 508-340-1745
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: RYAN P MCGOVERN
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 714 BROOK ST
Owner/Operator City,State,Zip: ROCKY HILL, CT 06067
Owner/Operator Telephone: 508-340-1745
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20220314
Handler Name: WALMART C/O TESLA ENERGY
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1012 of 1735 ends

TC7484275.8s Page 482
P89 WALMART #2099 RCRA-SQG 1014387319
South 180 NIBLICK RD CUPA Listings CAR000208025
1/8-1/4 EL PASO DE ROBLES, CA 93446 HWTS
Actual:
711 ft.

Focus Map:
5 0.132 mi. HAZNET
697 ft. Site 4 of 6 in cluster P
RCRA Listings:

Date Form Received by Agency: 20220909
Handler Name: Walmart #2099
Handler Address: NIBLICK RD
Handler City,State,Zip: EL PASO DE ROBLES, CA 93446
EPA ID: CAR000208025
Contact Name: ROSE CALDWELL
Contact Address: PO BOX 8041
Contact City,State,Zip: BENTONVILLE, AR 72712-8041
Contact Telephone: 479-277-8972
Contact Fax: 479-204-9675
Contact Email: [email protected]
Contact Title: SENIOR MANAGER
EPA Region: 09
Land Type: Private
Federal Waste Generator Description: Small Quantity Generator Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: PO BOX 8041
Mailing City,State,Zip: BENTONVILLE, AR 72712-8041
Owner Name: Walmart Inc
Owner Type: Private
Operator Name: Walmart Inc
Operator Type: Private
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
WALMART C/O TESLA ENERGY (Continued) 1027202334
List of NAICS Codes and Descriptions:

NAICS Code: 236210
NAICS Description: INDUSTRIAL BUILDING CONSTRUCTION
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1013 of 1735 ends

TC7484275.8s Page 483
WALMART #2099 (Continued) 1014387319
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20220914
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Hazardous Waste Summary:

Waste Code: D001
Waste Description: Ignitable Waste
Waste Code: D002
Waste Description: Corrosive Waste
Waste Code: D003
Waste Description: Reactive Waste
Waste Code: D004
Waste Description: Arsenic
Waste Code: D005
Waste Description: Barium
Waste Code: D006
Waste Description: Cadmium
Waste Code: D007
Waste Description: Chromium
Waste Code: D008
Waste Description: Lead
Waste Code: D009
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1014 of 1735 ends

TC7484275.8s Page 484
WALMART #2099 (Continued) 1014387319
Waste Description: Mercury
Waste Code: D010
Waste Description: Selenium
Waste Code: D011
Waste Description: Silver
Waste Code: D013
Waste Description: Lindane (1,2,3,4,5,6-Hexa-Chlorocyclohexane, Gamma Isomer) Waste Code: D016
Waste Description: 2,4-D (2,4-Dichlorophenoxyacetic Acid) Waste Code: D018
Waste Description: Benzene
Waste Code: D022
Waste Description: Chloroform
Waste Code: D024
Waste Description: M-Cresol
Waste Code: D025
Waste Description: P-Cresol
Waste Code: D026
Waste Description: Cresol
Waste Code: D027
Waste Description: 1,4-Dichlorobenzene
Waste Code: D030
Waste Description: 2,4-Dinitrotoluene
Waste Code: D035
Waste Description: Methyl Ethyl Ketone
Waste Code: D039
Waste Description: Tetrachloroethylene
Waste Code: D043
Waste Description: Vinyl Chloride
Waste Code: P001
Waste Description: 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts, When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & Salts, When Present At Concentrations Greater Than 0.3% Waste Code: P046
Waste Description: Alpha,Alpha-Dimethylphenethylamine (Or) Benzeneethanamine, Alpha, Alpha-DimethylWaste Code: P075
Waste Description: Nicotine, & Salts (Or) Pyridine, 3-(1-Methyl-2-Pyrrolidinyl)-,(S)-, & Salts
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1015 of 1735 ends

TC7484275.8s Page 485
WALMART #2099 (Continued) 1014387319
Waste Code: U002
Waste Description: 2-Propanone (I) (Or) Acetone (I)
Waste Code: U034
Waste Description: Acetaldehyde, Trichloro- (Or) Chloral Waste Code: U035
Waste Description: Benzenebutanoic Acid, 4-[Bis(2-Chloroethyl)Amino]- (Or) Chlorambucil Waste Code: U058
Waste Description: 2h-1,3,2-Oxazaphosphorin-2-Amine, N,N-Bis(2-Chloroethyl)Tetrahydro-, 2-Oxide (Or) Cyclophosphamide
Waste Code: U072
Waste Description: Benzene, 1,4-Dichloro- (Or) P-Dichlorobenzene Waste Code: U080
Waste Description: Methane, Dichloro- (Or) Methylene Chloride Waste Code: U089
Waste Description: Diethylstilbesterol (Or) Phenol, 4,4’-(1,2-Diethyl-1,2-Ethenediyl)Bis, (E)-
Waste Code: U112
Waste Description: Acetic Acid, Ethyl Ester (I) (Or) Ethyl Acetate (I) Waste Code: U122
Waste Description: Formaldehyde
Waste Code: U129
Waste Description: Cyclohexane, 1,2,3,4,5,6-Hexachloro-, (1alpha, 2alpha, 3beta, 4alpha, 5alpha, 6beta)- (Or) Lindane
Waste Code: U132
Waste Description: Hexachlorophene (Or) Phenol, 2,2’-Methylenebis[3,4,6-TrichloroWaste Code: U134 Waste Description: Hydrofluoric Acid (C,T) (Or) Hydrogen Fluoride (C,T) Waste Code: U150
Waste Description: L-Phenylalanine, 4-[Bis(2-Chloroethyl)Amino]- (Or) Melphalan Waste Code: U154
Waste Description: Methanol (I) (Or) Methyl Alcohol (I) Waste Code: U159
Waste Description: 2-Butanone (I,T) (Or) Methyl Ethyl Ketone (Mek) (I,T) Waste Code: U165
Waste Description: Naphthalene
Waste Code: U182
Waste Description: 1,3,5-Trioxane, 2,4,6-Trimethyl- (Or) Paraldehyde Waste Code: U188
Waste Description: Phenol
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1016 of 1735 ends

TC7484275.8s Page 486
WALMART #2099 (Continued) 1014387319
Waste Code: U200
Waste Description: Reserpine (Or) Yohimban-16-Carboxylic Acid, 11,17-Dimethoxy-18-[(3,4,5-Trimethoxybenzoyl)Oxy]-, Methyl Ester, (3beta, 16beta, 17alpha, 18beta, 20alpha)-
Waste Code: U205
Waste Description: Selenium Sulfide (Or) Selenium Sulfide Ses2 (R,T) Waste Code: U210
Waste Description: Ethene, Tetrachloro- (Or) Tetrachloroethylene Waste Code: U248
Waste Description: 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenyl-Butyl)-, & Salts, When Present At Concentrations Of 0.3% Or Less (Or) Warfarin, & Salts, When Present At Concentrations Of 0.3% Or Less
Waste Code: U249
Waste Description: Zinc Phosphide Zn3p2, When Present At Concentrations Of 10% Or Less Waste Code: U279
Waste Description: U279
Waste Code: U409
Waste Description: Carbamic Acid, [1,2-Phenylenebis (Iminocarbonothioyl)]Bis-, Dimethyl Ester (Or) Thiophanate-Methyl
Waste Code: U411
Waste Description: U411
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: Not reported
Owner/Operator City,State,Zip: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1017 of 1735 ends

TC7484275.8s Page 487
WALMART #2099 (Continued) 1014387319
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: Not reported
Owner/Operator City,State,Zip: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: WALMART INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-277-8972
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Owner
Owner/Operator Name: WAL-MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-277-8972
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: Not reported
Owner/Operator City,State,Zip: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-204-8041
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1018 of 1735 ends

TC7484275.8s Page 488
WALMART #2099 (Continued) 1014387319
Owner/Operator Indicator: Operator
Owner/Operator Name: WALMART INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-277-8972
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Operator
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: Not reported
Owner/Operator City,State,Zip: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: WAL MART STORES INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-204-3517
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: WALMART INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-277-8972
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: 479-204-9675
Owner/Operator Email: [email protected]
Owner/Operator Indicator: Operator
Owner/Operator Name: WALMART INC
Legal Status: Private
Date Became Current: 19940927
Date Ended Current: Not reported
Owner/Operator Address: PO BOX 8041
Owner/Operator City,State,Zip: BENTONVILLE, AR 72712-8041 Owner/Operator Telephone: 479-277-8972
Owner/Operator Telephone Ext: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1019 of 1735 ends

TC7484275.8s Page 489
WALMART #2099 (Continued) 1014387319
Owner/Operator Fax: 479-204-9675
Owner/Operator Email: [email protected]
Historic Generators:

Receive Date: 20100430
Handler Name: WALMART NO 2099
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: Yes
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Receive Date: 20110627
Handler Name: WALMART NO 2099
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Receive Date: 20141028
Handler Name: WALMART NO 2099
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Receive Date: 20160620
Handler Name: WALMART NO 2099
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Receive Date: 20220414
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1020 of 1735 ends

TC7484275.8s Page 490
WALMART #2099 (Continued) 1014387319
Handler Name: WALMART #2099
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
Receive Date: 20220909
Handler Name: WALMART #2099
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
List of NAICS Codes and Descriptions:

NAICS Code: 45291
NAICS Description: WAREHOUSE CLUBS AND SUPERCENTERS
NAICS Code: 452910
NAICS Description: WAREHOUSE CLUBS AND SUPERCENTERS
NAICS Code: 455211
NAICS Description: WAREHOUSE CLUBS AND SUPERCENTERS
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
CUPA SAN LUIS OBISPO:

Name: WAL-MART ONE HOUR PHOTO #2099
Address: 180 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0002471
Program Element Code: 0705
Program Element: STATE SITE SURCHARGE
Record Id: PR0007005
Cross Street: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1021 of 1735 ends

TC7484275.8s Page 491
WALMART #2099 (Continued) 1014387319
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61238
Longitude: -120.68085
Name: WAL-MART ONE HOUR PHOTO #2099
Address: 180 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0002471
Program Element Code: 1125
Program Element: HAZWASTE GEN (1 WS <27 GAL/MO, SELF REPORTER) Record Id: PR0002471
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61238
Longitude: -120.68085
HWTS:

Name: WALMART #2099
Address: 180 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAR000208025
Inactive Date: Not reported
Create Date: 06/03/2010
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: P.O. BOX 8041
Mailing Address 2: Not reported
Mailing City,State,Zip: BENTONVILLE, AR 727128041
Owner Name: WAL-MART STORES, INC
Owner Address: P.O. BOX 8041
Owner Address 2: Not reported
Owner City,State,Zip: BENTONVILLE, AR 727128041
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: ROSE ARNOLD
Contact Address: PO BOX 8041
Contact Address 2: Not reported
City,State,Zip: BENTONVILLE, AR 727128041
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Active
Facility Type: PERMANENT
Category: FEDERAL
Latitude: 35.61517
Longitude: -120.686942
NAICS:

EPA ID: CAR000208025
Create Date: 2014-11-20 14:58:04.210
NAICS Code: 45291
NAICS Description: Warehouse Clubs and Superstores
Issued EPA ID Date: 2010-06-03 10:00:48.99700
Inactive Date: Not reported
Facility Name: WALMART #2099
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1022 of 1735 ends

TC7484275.8s Page 492
WALMART #2099 (Continued) 1014387319
Facility Address: 180 NIBLICK RD
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Facility Zip: 934460000
HAZNET:

Name: WALMART #2099
Address: 180 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 934460000
Contact: ROSE ARNOLD
Telephone: 4792778972
Mailing Name: Not reported
Mailing Address: P.O. BOX 8041
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: CAD008364432
CA Waste Code: 141 - Off-specification, aged or surplus inorganics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.0025
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: TXD982290140
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.422
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: CAD008364432
CA Waste Code: 791 - Liquids with pH <= 2
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.325
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: UTD991301748
CA Waste Code: 223 - Unspecified oil-containing waste
Disposal Method: H132 - Landfill Or Surface Impoundment That Will Be Closed As Landfill( To Include On-Site Treatment And/Or Stabilization) Tons: 0.11
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: CAD008364432
CA Waste Code: 181 - Other inorganic solid waste
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.022
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1023 of 1735 ends

TC7484275.8s Page 493
WALMART #2099 (Continued) 1014387319
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: ALD094476793
CA Waste Code: 122 - Alkaline solution without metals pH >= 12.5 Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.0675
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: CAD008364432
CA Waste Code: 122 - Alkaline solution without metals pH >= 12.5 Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.755
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: CAD008364432
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 2.194
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: NVD980895338
CA Waste Code: 311 - Pharmaceutical waste
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.001
Year: 2021
Gepaid: CAR000208025
TSD EPA ID: TXD982290140
CA Waste Code: 311 - Pharmaceutical waste
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.0005
Click this hyperlink while viewing on your computer to access 157 additional CA HAZNET: record(s) in the EDR Site Report.

Additional Info:

Year: 2021
Gen EPA ID: CAR000208025
Shipment Date: 9/22/2020
Creation Date: 10/5/2020
Receipt Date: 10/2/2020
Manifest ID: 015066921FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1024 of 1735 ends

TC7484275.8s Page 494
WALMART #2099 (Continued) 1014387319
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001,D018,D035,
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.008
Waste Quantity: 16
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/22/2020
Creation Date: 10/5/2020
Receipt Date: 10/2/2020
Manifest ID: 015066921FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 122 - Alkaline solution without metals (pH > 12.5 RCRA Code: D002
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0155
Waste Quantity: 31
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/22/2020
Creation Date: 10/5/2020
Receipt Date: 10/2/2020
Manifest ID: 015066921FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1025 of 1735 ends

TC7484275.8s Page 495
WALMART #2099 (Continued) 1014387319
Quantity Tons: 0.0725
Waste Quantity: 145
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.006
Waste Quantity: 12
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 122 - Alkaline solution without metals (pH > 12.5 RCRA Code: D002
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1026 of 1735 ends

TC7484275.8s Page 496
WALMART #2099 (Continued) 1014387319
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.1165
Waste Quantity: 233
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 311 - Pharmaceutical waste
RCRA Code: D007,D010,D011,
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.001
Waste Quantity: 2
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 10/21/2020
Receipt Date: 10/6/2020
Manifest ID: 015066865FLE
Trans EPA ID: MNS000110924
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1027 of 1735 ends

TC7484275.8s Page 497
WALMART #2099 (Continued) 1014387319
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: NVD980895338
Trans Name: 21st Century Environmental Management of Nevada, LLC TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0015
Waste Quantity: 3
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 10/21/2020
Receipt Date: 10/6/2020
Manifest ID: 015066865FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: NVD980895338
Trans Name: 21st Century Environmental Management of Nevada, LLC TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 311 - Pharmaceutical waste
RCRA Code: P001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0005
Waste Quantity: 1
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1028 of 1735 ends

TC7484275.8s Page 498
WALMART #2099 (Continued) 1014387319
Waste Code Description: 181 - Other inorganic solid waste Organics RCRA Code: D009
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0185
Waste Quantity: 37
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2020
Gen EPA ID: CAR000208025
Shipment Date: 9/22/2020
Creation Date: 10/5/2020
Receipt Date: 10/2/2020
Manifest ID: 015066921FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0725
Waste Quantity: 145
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/22/2020
Creation Date: 10/5/2020
Receipt Date: 10/2/2020
Manifest ID: 015066921FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001,D018,D035,
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1029 of 1735 ends

TC7484275.8s Page 499
WALMART #2099 (Continued) 1014387319
Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.008
Waste Quantity: 16
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/22/2020
Creation Date: 10/5/2020
Receipt Date: 10/2/2020
Manifest ID: 015066921FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 122 - Alkaline solution without metals (pH > 12.5 RCRA Code: D002
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0155
Waste Quantity: 31
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 181 - Other inorganic solid waste Organics RCRA Code: D009
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0185
Waste Quantity: 37
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1030 of 1735 ends

TC7484275.8s Page 500
WALMART #2099 (Continued) 1014387319
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001,D018,D035,
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.007
Waste Quantity: 14
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 10/21/2020
Receipt Date: 10/6/2020
Manifest ID: 015066865FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: NVD980895338
Trans Name: 21st Century Environmental Management of Nevada, LLC TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 311 - Pharmaceutical waste
RCRA Code: P001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0005
Waste Quantity: 1
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 10/21/2020
Receipt Date: 10/6/2020
Manifest ID: 015066865FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1031 of 1735 ends

TC7484275.8s Page 501
WALMART #2099 (Continued) 1014387319
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: NVD980895338
Trans Name: 21st Century Environmental Management of Nevada, LLC TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0015
Waste Quantity: 3
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.1165
Waste Quantity: 233
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1032 of 1735 ends

TC7484275.8s Page 502
WALMART #2099 (Continued) 1014387319
TSDF Alt Name: Not reported
Waste Code Description: 122 - Alkaline solution without metals (pH > 12.5 RCRA Code: D002
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/10/2020
Creation Date: 9/22/2020
Receipt Date: 9/22/2020
Manifest ID: 015066864FLE
Trans EPA ID: MNS000110924
Trans Name: Stericycle Specialty Waste Solutions Inc
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD008364432
Trans Name: Rho Chem LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.006
Waste Quantity: 12
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Detail Two:

Year: 2020
EM Manifest ID: 919883
Shipment Date: 9/25/2019
Receipt Date: 10/4/2019
Manifest Number: 013993352FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 844-670-2030
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1033 of 1735 ends

TC7484275.8s Page 503
WALMART #2099 (Continued) 1014387319
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1034 of 1735 ends

TC7484275.8s Page 504
WALMART #2099 (Continued) 1014387319
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D022
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1035 of 1735 ends

TC7484275.8s Page 505
WALMART #2099 (Continued) 1014387319
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.01400
Quantity Waste: 28.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1036 of 1735 ends

TC7484275.8s Page 506
WALMART #2099 (Continued) 1014387319
Quantity Type: Pounds
Federal Code: D002
State:

Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 352
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.01400
Quantity Waste: 28.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 791
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.11300
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1037 of 1735 ends

TC7484275.8s Page 507
WALMART #2099 (Continued) 1014387319
Quantity Waste: 226.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 919883
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993352FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.12150
Quantity Waste: 243.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 922203
Shipment Date: 9/25/2019
Receipt Date: 10/10/2019
Manifest Number: 013993353FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 844-670-2030
Contact: Not reported
Contact Telephone: 775-575-2760
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NVD980895338
TSDF Name: 21st Century Environmental Management of Nevada, LLC TSDF Address 1: 2095 Newlands Drive East
TSDF Address 2: Not reported
TSDF City: Fernley
TSDF Zip: 89408
TSDF Telephone: Not reported
Federal:

Page 1038 of 1735 ends

TC7484275.8s Page 508
WALMART #2099 (Continued) 1014387319
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
State:

Year: 2020
EM Manifest ID: 922203
Generator EPA ID: CAR000208025
Shipment Date: 2019-09-25
Manifest Number: 013993353FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 887271
Shipment Date: 8/27/2019
Receipt Date: 9/10/2019
Manifest Number: 013676608FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 844-670-2030
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 1
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1039 of 1735 ends

TC7484275.8s Page 509
WALMART #2099 (Continued) 1014387319
Method Code: H141
Quantity Tons: 0.00450
Quantity Waste: 9.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00450
Quantity Waste: 9.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00450
Quantity Waste: 9.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00450
Quantity Waste: 9.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1040 of 1735 ends

TC7484275.8s Page 510
WALMART #2099 (Continued) 1014387319
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00450
Quantity Waste: 9.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D022
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1041 of 1735 ends

TC7484275.8s Page 511
WALMART #2099 (Continued) 1014387319
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.00200
Quantity Waste: 4.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.09950
Quantity Waste: 199.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1042 of 1735 ends

TC7484275.8s Page 512
WALMART #2099 (Continued) 1014387319
Quantity Type: Pounds
Federal Code: D002
State:

Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00450
Quantity Waste: 9.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 352
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00850
Quantity Waste: 17.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.00200
Quantity Waste: 4.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
State Code: 214
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.09950
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1043 of 1735 ends

TC7484275.8s Page 513
WALMART #2099 (Continued) 1014387319
Quantity Waste: 199.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
State Code: 122
Year: 2020
EM Manifest ID: 887271
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-27
Manifest Number: 013676608FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.13250
Quantity Waste: 265.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 877800
Shipment Date: 8/17/2019
Receipt Date: 8/29/2019
Manifest Number: 013676568FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 844-670-2030
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Page 1044 of 1735 ends

TC7484275.8s Page 514
WALMART #2099 (Continued) 1014387319
Quantity Waste: 23.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01150
Quantity Waste: 23.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01150
Quantity Waste: 23.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01150
Quantity Waste: 23.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1045 of 1735 ends

TC7484275.8s Page 515
WALMART #2099 (Continued) 1014387319
Line Number: 1
Method Code: H141
Quantity Tons: 0.01150
Quantity Waste: 23.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D022
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Year: 2020
EM Manifest ID: 877800
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1046 of 1735 ends

TC7484275.8s Page 516
WALMART #2099 (Continued) 1014387319
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.08100
Quantity Waste: 162.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
Federal Code: D002
State:

Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01150
Quantity Waste: 23.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1047 of 1735 ends

TC7484275.8s Page 517
WALMART #2099 (Continued) 1014387319
State Code: 352
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.08100
Quantity Waste: 162.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
State Code: 122
Year: 2020
EM Manifest ID: 877800
Generator EPA ID: CAR000208025
Shipment Date: 2019-08-17
Manifest Number: 013676568FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.20350
Quantity Waste: 407.000000
Quantity Unit: P
Number of Containers: 2
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 60b69c9c-c315-45aa-9992-2f2efacf6700
Shipment Date: 8/10/2020
Receipt Date: 9/3/2020
Manifest Number: 013989641FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1048 of 1735 ends

TC7484275.8s Page 518
WALMART #2099 (Continued) 1014387319
City: PASO ROBLES
Zip: 93446-4842
Telephone: 800-645-8265
Contact: Not reported
Contact Telephone: 313-824-5840
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MOD095038998
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: MID980615298
TSDF Name: Petro Chem Processing Group of Nortru LLC
TSDF Address 1: 421 Lycaste St.

TSDF Address 2: Not reported
TSDF City: Detroit
TSDF Zip: 48214
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: 60b69c9c-c315-45aa-9992-2f2efacf6700
Generator EPA ID: CAR000208025
Shipment Date: 2020-08-10
Manifest Number: 013989641FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00350
Quantity Waste: 7.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 311
Year: 2020
EM Manifest ID: 866023
Shipment Date: 7/30/2019
Receipt Date: 8/12/2019
Manifest Number: 013676103FLE
Generator EPA ID: CAR000208025
Name: WALMART
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1049 of 1735 ends

TC7484275.8s Page 519
WALMART #2099 (Continued) 1014387319
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 844-670-2030
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00700
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1050 of 1735 ends

TC7484275.8s Page 520
WALMART #2099 (Continued) 1014387319
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D022
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00650
Quantity Waste: 13.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1051 of 1735 ends

TC7484275.8s Page 521
WALMART #2099 (Continued) 1014387319
Line Number: 2
Method Code: H141
Quantity Tons: 0.00650
Quantity Waste: 13.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00650
Quantity Waste: 13.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00650
Quantity Waste: 13.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00650
Quantity Waste: 13.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: 866023
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1052 of 1735 ends

TC7484275.8s Page 522
WALMART #2099 (Continued) 1014387319
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.10600
Quantity Waste: 212.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.03100
Quantity Waste: 62.000000
Quantity Unit: P
Number of Containers: 3
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D009
State:

Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 352
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00650
Quantity Waste: 13.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1053 of 1735 ends

TC7484275.8s Page 523
WALMART #2099 (Continued) 1014387319
State Code: 331
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.10600
Quantity Waste: 212.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Metal drums, barrels, kegs
Quantity Type: Pounds
State Code: 122
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.03100
Quantity Waste: 62.000000
Quantity Unit: P
Number of Containers: 3
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 181
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.11050
Quantity Waste: 221.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 866023
Generator EPA ID: CAR000208025
Shipment Date: 2019-07-30
Manifest Number: 013676103FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.10400
Quantity Waste: 208.000000
Quantity Unit: P
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1054 of 1735 ends

TC7484275.8s Page 524
WALMART #2099 (Continued) 1014387319
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 045cdd1e-69c4-4586-ae00-8f4778c8b32d
Shipment Date: 7/15/2020
Receipt Date: 7/31/2020
Manifest Number: 014942489FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 800-645-8265
Contact: Not reported
Contact Telephone: 775-575-2760
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: NVD980895338
TSDF Name: 21st Century Environmental Management of Nevada, LLC TSDF Address 1: 2095 Newlands Drive East
TSDF Address 2: Not reported
TSDF City: Fernley
TSDF Zip: 89408
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: 045cdd1e-69c4-4586-ae00-8f4778c8b32d
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942489FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00150
Quantity Waste: 3.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
State:

Year: 2020
EM Manifest ID: 045cdd1e-69c4-4586-ae00-8f4778c8b32d
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942489FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00150
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1055 of 1735 ends

TC7484275.8s Page 525
WALMART #2099 (Continued) 1014387319
Quantity Waste: 3.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Shipment Date: 7/15/2020
Receipt Date: 7/24/2020
Manifest Number: 014942488FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 800-645-8265
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1056 of 1735 ends

TC7484275.8s Page 526
WALMART #2099 (Continued) 1014387319
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1057 of 1735 ends

TC7484275.8s Page 527
WALMART #2099 (Continued) 1014387319
Line Number: 2
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1058 of 1735 ends

TC7484275.8s Page 528
WALMART #2099 (Continued) 1014387319
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.00200
Quantity Waste: 4.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D010
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1059 of 1735 ends

TC7484275.8s Page 529
WALMART #2099 (Continued) 1014387319
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D011
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U129
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1060 of 1735 ends

TC7484275.8s Page 530
WALMART #2099 (Continued) 1014387319
Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D013
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D024
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1061 of 1735 ends

TC7484275.8s Page 531
WALMART #2099 (Continued) 1014387319
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D026
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: P001
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 7
Method Code: H141
Quantity Tons: 0.01200
Quantity Waste: 24.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 8
Method Code: H141
Quantity Tons: 0.00400
Quantity Waste: 8.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D009
State:

Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1062 of 1735 ends

TC7484275.8s Page 532
WALMART #2099 (Continued) 1014387319
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 352
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.00200
Quantity Waste: 4.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 311
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1063 of 1735 ends

TC7484275.8s Page 533
WALMART #2099 (Continued) 1014387319
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 311
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 311
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 7
Method Code: H141
Quantity Tons: 0.01200
Quantity Waste: 24.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 122
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 8
Method Code: H141
Quantity Tons: 0.00400
Quantity Waste: 8.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 181
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1064 of 1735 ends

TC7484275.8s Page 534
WALMART #2099 (Continued) 1014387319
Year: 2020
EM Manifest ID: cf2a553c-1ae3-4458-9f2c-9324ef304ffb
Generator EPA ID: CAR000208025
Shipment Date: 2020-07-15
Manifest Number: 014942488FLE
Line Number: 9
Method Code: H141
Quantity Tons: 0.08700
Quantity Waste: 174.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Shipment Date: 6/3/2020
Receipt Date: 6/15/2020
Manifest Number: 014933400FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 855-645-8265
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1065 of 1735 ends

TC7484275.8s Page 535
WALMART #2099 (Continued) 1014387319
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1066 of 1735 ends

TC7484275.8s Page 536
WALMART #2099 (Continued) 1014387319
Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1067 of 1735 ends

TC7484275.8s Page 537
WALMART #2099 (Continued) 1014387319
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
State:

Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 352
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1068 of 1735 ends

TC7484275.8s Page 538
WALMART #2099 (Continued) 1014387319
Line Number: 2
Method Code: H141
Quantity Tons: 0.00700
Quantity Waste: 14.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.01100
Quantity Waste: 22.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
State Code: 122
Year: 2020
EM Manifest ID: 82216f68-1696-4281-aa3b-27925eda8dac
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-03
Manifest Number: 014933400FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.09400
Quantity Waste: 188.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Shipment Date: 6/17/2020
Receipt Date: 6/25/2020
Manifest Number: 014933436FLE
Generator EPA ID: CAR000208025
Name: WALMART
Address: 180 NIBLICK ROAD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 855-645-8265
Contact: Not reported
Contact Telephone: 323-776-6233
Transporter 1 EPA ID: MNS000110924
Transporter 1 Emergency Number: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1069 of 1735 ends

TC7484275.8s Page 539
WALMART #2099 (Continued) 1014387319
Transporter 2 EPA ID: MNS000110924
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: CAD008364432
TSDF Name: Rho Chem LLC
TSDF Address 1: 425 Isis Ave.

TSDF Address 2: Not reported
TSDF City: Inglewood
TSDF Zip: 90301
TSDF Telephone: Not reported
Federal:

Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D002
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D005
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1070 of 1735 ends

TC7484275.8s Page 540
WALMART #2099 (Continued) 1014387319
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 1
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00550
Quantity Waste: 11.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00550
Quantity Waste: 11.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1071 of 1735 ends

TC7484275.8s Page 541
WALMART #2099 (Continued) 1014387319
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00550
Quantity Waste: 11.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D035
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00550
Quantity Waste: 11.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U002
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 2
Method Code: H141
Quantity Tons: 0.00550
Quantity Waste: 11.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U154
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 3
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1072 of 1735 ends

TC7484275.8s Page 542
WALMART #2099 (Continued) 1014387319
Quantity Type: Pounds
Federal Code: D001
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 4
Method Code: H141
Quantity Tons: 0.00050
Quantity Waste: 1.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: P001
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D013
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1073 of 1735 ends

TC7484275.8s Page 543
WALMART #2099 (Continued) 1014387319
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D024
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 5
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D026
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D007
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 6
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1074 of 1735 ends

TC7484275.8s Page 544
WALMART #2099 (Continued) 1014387319
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D010
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D011
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: D018
Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Generator EPA ID: CAR000208025
Shipment Date: 2020-06-17
Manifest Number: 014933436FLE
Line Number: 6
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiber or plastic boxes, cartons, cases Quantity Type: Pounds
Federal Code: U129
State:

Year: 2020
EM Manifest ID: c1523d3e-173b-429c-ab0e-e6c266b0619a
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 1075 of 1735 ends

Paso Robles City CouncilMarch 18, 2025

Paso Robles City Council
March 18, 2025